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Training and educating the clinical team in effective clinical audit practice

Training and educating the clinical team in effective clinical audit practice. Gaynor Smith Dr Anthony Choules Burton Hospitals NHS Foundation Trust. If something’s worth doing…. Developing a clinical audit training programme for the clinical team

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Training and educating the clinical team in effective clinical audit practice

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  1. Training and educating the clinical team in effective clinical audit practice Gaynor Smith Dr Anthony Choules Burton Hospitals NHS Foundation Trust

  2. If something’s worth doing… • Developing a clinical audit training programme for the clinical team • Empowering junior doctors to take an active interest in clinical audit and coordinating activity into an integrated audit programme • Developing a directorate clinical audit programme in practice

  3. Burton NHS Foundation Trust Junior Doctor Patient Safety Forum S Wren, D Clutton, G Dimitropoulos It’s a collaboration between the patient safety lead, audit department, clinical education team and junior doctors, we meet once a month though we get support throughout What’s this then? Why? Because too often we become bogged down with repetitive tasks and don‘t see the bigger picture! What do you do there? It’s brilliant, we’ve covered some really important topics already like venous thromboembolism prophylaxis, oxygen therapy and IV cannula care. We’ve had talks from airline pilots as well as consultants and we actually feel like we make a difference! Sounds great! I’ll definitely come along, I think every hospital should have a group like this! Special thanks to Dr Choules, Dr Vickers & Ruth Turner, medical photography

  4. Why do QA projects ? • Trusts need quality improvement/audit projects to be done • To ensure patient safety • To improve patient care • To satisfy monitoring processes

  5. Why do QA projects ? • Junior doctors are required to do quality improvement projects • To learn how important they are • To pass their training • To show leadership skills • But: • They rotate frequently • They don’t always understand what they are looking at • The are not always well placed to lead change

  6. The Plan • Meaningful audits • Trust wide • Large scale • Longer timescale • Enthusiastic supervisors • Good logistic support • An opportunity to implement change and improve patient care • Fulfilling requirements of Trust and trainee doctors

  7. Topics

  8. Timeline • Aug/Sept: Assign topics/groups Introduction to audit • Sept/Oct: Meet supervisor, plan and obtain approval • Oct/Nov: Gather data and process • Dec: Clinical Audit Showcase • Presentation • Plans • Prizes

  9. Timeline • Jan/Feb/Mar: Implement changes • Apr: Re-audit • May: Clinical Audit Showcase • 2nd Presentation • Prizes

  10. Results • High standard of audits • Feedback demonstrated the effectiveness of the training and understanding of the clinical audit process • Some changes were made… • Good publicity (Inside and outside the Trust) • eportfolio sign-off/publications • Leadership skills

  11. Results • Handover audit - Standardized handover order of proceedings - Implementing poster in handover room • Consultant First Review - PTWR proforma to become part of a generic notes – better recording of EDD and diagnosis, VTE prophylaxis etc…

  12. Poster for the handover room

  13. PTWR proforma

  14. PTWR proforma cont

  15. “They have helped to engage us, as junior doctors, in the audit process of the trust and, therefore, instilled in us the skills and enthusiasm to play an active role in quality improvement projects in the future.”

  16. Publicity • Joint Foundation Programme Sharing Event • The National Association of Clinical Tutors (NACT) • Clinical Audit Support Centre winners! • NHS local website • International presentations

  17. Our poster for the FP shared event

  18. Publicity • www.learning.nhslocal.nhs.uk/best-practice/medicine/programme-improve-audits-junior-doctors

  19. Taking things forward • Smaller groups • Access to eportfolio • FY2’s • New topics • More consultant supervisors • Wider interest across the Trust

  20. Workbooks Just one workbook – As a tool

  21. New Topics for 2012-13

  22. Key benefits • Trainees learnt leadership skills • Consultants got a willing workforce • Rekindled enthusiasm for audit/QA • Developed relationship with Trust chairman/NEDs/board • Junior staff felt valued

  23. Key Messages • A Trust wide, collaborative approach allows focus on more meaningful audits and better opportunity for re-audit • Generates enthusiasm across the Trust • Enhanced experience for juniors • Training junior doctors properly in audit is an investment for the future

  24. What’s next? More great quality Audits/Quality improvement projects Gaynor.Smith@burtonft.nhs.uk Clinical Audit Department Burton Hospitals NHS Foundation Trust Anthony.Choules@burtonft.nhs.uk Postgraduate Clinical Tutor Burton Hospitals NHS Foundation Trust

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